beauregard memorial hospital
beauregard memorial hospital with http://www.md-news.net

beauregard memorial hospital

MD News

News for 11-Sep-22

Source: MedicineNet Senior Health General
Health Tip: Reduce Your Risk of Hip Fracture

Source: MedicineNet Prevention and Wellness General
Foods Might Serve Up High Levels of Chemicals Found in Plastics

Source: MedicineNet Senior Health General
Electronic In-Hospital Prescribing: Trouble for Older Adults?

Source: MedicineNet Senior Health General
Elder Abuse Often Missed In ER

Search the Web
gynecological services
beauregard memorial hospital
cardiac rehab
deridder
laboratory
louisiana
obstetrical
outpatient surgery
physical therapy
same day surgery

The Best beauregard memorial hospital website

All the beauregard memorial hospital information you need to know about is right here. Presented and researched by http://www.md-news.net. We've searched the information super highway far and wide to provide you with the best beauregard memorial hospital site on the internet today. The links below will assist you in your efforts to find the information that you are looking for about
beauregard memorial hospital.

beauregard memorial hospital

MD News
Need information on medical news? Follow our sponsored links to find information on all of your medical new needs.
MD News

Are You Passionate about beauregard memorial hospital?


Passion -- OK, I know you have heard this before but if you really care about beauregard memorial hospital then you want to be sure you get the highest value for your money. There are numerous sites dealing with beauregard memorial hospital and some may or may not have anything to teach you. That will not happen here. We are here to really stimulate your passion and make sure you get just what you need.

It all starts with something you know and love and that is beauregard memorial hospital. Please don't say a word. Just listen. And remember, don't share this with anyone. This is just between us. This is the single best source of finding the very best beauregard memorial hospital information on the Internet.

If you are truly interested in the very best in beauregard memorial hospital then be sure you click the link above. We have researched the beauregard memorial hospital subject extensively and can guarantee that the people have the best.

The beauregard memorial hospital links on the left side of this page will take you directly to the specific item you need so look around. We have made it easy for you and of course this company stands behind their beauregard memorial hospital with total satisfaction guarantees.

beauregard memorial hospital
cardiac rehab
deridder
laboratory
louisiana
obstetrical
outpatient surgery
physical therapy
same day surgery
wellness programs
ames physicians
bloc obstetrical
doran clinic
doran clinic for women
gynecological
gynecological services

Depression Series (Part 2): My Antidepressant Doesn't Work. What Can My Psychiatrist Do?

 by: Michael G. Rayel, MD

Maria has been increasingly depressed for the past few years. She has tried at least four newer antidepressants but so far, she doesn't seem to respond. Unable to work, she's now feeling helpless and hopeless. Likewise, her family is discouraged. Frustrated and baffled by Maria's lack of progress, the family doctor refers her to a psychiatrist.

What can the psychiatrist do to help Maria?

The psychiatrist has several options in dealing with a treatment-resistant or refractory depression. First, Maria's psychiatrist can optimize the dose of her antidepressant. Maria has been taking low doses of antidepressants. In spite of her lack of response, the medication dosage has not been increased. To obtain a clinical response, her psychiatrist should increase the dose every two to three weeks. The antidepressant can be adjusted up to the maximum allowable dose if no or only partial response is observed.

Second, her psychiatrist can choose to augment the effect of her antidepressant with another medication such as lithium, triiodothyronine (T3), or buspirone. Among augmenters, lithium and triiodothyronine have the best support from the literature. Despite lithium's efficacy, some doctors avoid this drug because it requires regular blood monitoring and has unfavorable side effect profile such as acne, tremors, and thyroid and renal dysfunction.

Recently, studies have shown atypical neuroleptics such as olanzapine and risperidone to be good augmenters. In my opinion, further studies are necessary to establish these two drugs as standard augmenter. Indeed, research studies and clinical experience have found augmentation strategy to be effective.

Third, combination strategy is worthwhile to try. Maria's psychiatrist can add another antidepressant to boost the effect of her current antidepressant. For instance, trazodone can be added to an SSRI (serotonin reuptake inhibitor e.g. citalopram). Literature suggests that combining two drugs with different mechanisms of action and drugs that involve several brain chemicals has resulted in clinical improvement. In this scenario, one antidepressant plus another antidepressant is equal to three, or four or even ten, not two.

Fourth, the psychiatrist can switch from one antidepressant to another. Previous studies have shown that when making a switch, a drug should be replaced by a drug from a different class e.g. from SSRI to SNRI (serotonin and norepinephrine reuptake inhibitor e.g. venlafaxine), or from TCA (tricyclic agent e.g. nortriptyline) to SSRI. But recent studies show that switching drugs within the same class (e.g. SSRI to another SSRI) is just as effective.

Fifth, Maria's psychiatrist can also treat other ongoing symptoms or drug-related problems that further complicate her depression. If she is anxious and agitated, then her psychiatrist should prescribe antianxiety drug (e.g. lorazepam) or if Maria is psychotic then adding an antipsychotic drug should help. Moreover, medication side effects (such as insomnia, dryness of mouth, constipation, etc.) that negatively affect Maria's compliance to the drug should be addressed promptly.

Lastly, if despite above measures Maria doesn't respond to antidepressants, then electroconvulsive therapy should be entertained. Of course, this procedure should be done with her consent.

In summary, Maria's psychiatrist can optimize the dose, augment or combine treatment, switch the medication, treat side effects and ongoing symptoms, or use electroconvulsive therapy for treatment-resistant or refractory depression.

About The Author

Copyright © 2003. All rights reserved. Dr. Michael G. Rayel – author (First Aid to Mental Illness–Finalist, Reader's Preference Choice Award 2002), speaker, workshop leader, and psychiatrist. Dr. Rayel pioneers the CARE Approach as a first aid for mental health. To receive free newsletter, visit www.drrayel.com. His books are available at major online bookstores.


mike@drrayel.com

Google

http://www.medmeet.com/
Go Meetings | Fantasy Football Information | Real Time Media On The Net | Doctors On-the-Net | Listen On The Net

MD Newscast   Medical Presentations   Medical Newscast